A single microvascular decompression surgery cures a patient with trigeminal neuralgia, hemifacial spasm, tinnitus, hypertension, and paroxysmal supraventricular tachycardia caused by the compression of a vertebral artery.

Yin Jia; Wang Wenhua; Zhang Quanbin; Jia, Yin; Wenhua, Wang; Quanbin, Zhang

This report presents a 72-year-old woman with posterior cranial fossa neurovascular compression syndrome that included paroxysmal supraventricular tachycardia. The patient underwent surgical exploration of the posterior cranial fossa, and a gross left vertebral artery was identified as the offending vessel. The neurovascular conflicts were associated with the cranial nerves V, VII, VIII, IX, and X. The patient experienced significant postoperative relief. Probably this is the first report of a single microvascular decompression, having cured such a high number of syndromes, including paroxysmal supraventricular tachycardia.

DECOMPRESSION (Physiology); TRIGEMINAL neuralgia; NEUROVASCULAR diseases; POSTOPERATIVE care; PAROXYSMAL tachycardia; VERTEBRAL artery surgery; ENTRAPMENT neuropathies; HYPERTENSION; SPASMS; TINNITUS; SURGICAL decompression; SUPRAVENTRICULAR tachycardia

Neurology India, 2013, Vol 61, Issue 1, p73

0028-3886

Academic Journal

10.4103/0028-3886.108016